<div class="col_02" id="midPart_box"> 
	<div class="midPart_c">
	<p class="title1">Membership Status</p>
		{if $overdue == "Expired" || $overdue == "Trial"}
		<p><form action="https://orderpage.ic3.com/hop/orderform.jsp"   method="post">
					<font size="2" face="Arial, Helvetica, sans-serif">{$overduemessage}<br />{$title}</font>
					{$cbk}
					<input type="hidden" name="billTo_firstName" value="{$firstname}" />
					<input type="hidden" name="billTo_lastName" value="{$lastname}"/>
					<input type="hidden" name="billTo_street1" value="{$location}"/>
					<input type="hidden" name="billTo_city" value="{$city}"/>
					<input type="hidden" name="billTo_postalCode" value="{$zip}"/>
					<input type="hidden" name="billTo_state" value="{$state}"/>
					<input type="hidden" name="billTo_country" value="{$country}"/>
					<input type="hidden" name="billTo_postalCode" value="{$postal}"/>
					<input type="hidden" name="billTo_phoneNumber" value="{$phone}"/>
					<input type="hidden" name="billTo_email" value="{$email}"/>
					<input type="hidden" name="comments" value="{$comments}"/>
					<input type="hidden" name="my_custom_field" value="{$myfield}"/>
					{$subscription}
					<br /><br />
					{if $utype == "employer" || $utype == "advisor" }<input type="submit" name="submit" value="Buy Now" /> {/if}
			  </form>
		</p>
		{else}
		<p>
		If you wish to apply for our Premium membership please send us an email. A representative will contact you shortly after we receive your email. Please send your email to: <a href="mailto:premium@enetrecruiter.com">premium@enetrecruiter.com</a>. <br /><br /><input type="button" value="Back" onclick="history.go(-1)">
		</p>
		{/if}
	</div>
</div>